Apply for a Grant from the Bridgestone Americas Trust Fund

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aoda

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Our organization is:*

NationalLocal

From the list below, please select the Bridgestone facility nearest your organization. The trust fund committee at that location will process your application.

organizationTypeLocation

Who may we contact about this application?

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First Name*

firstname

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Last Name*

lastname

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Contact's Email Address*

email

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Phone*

phone

Organization Information

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Organization Name*

organizationName

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Country*

country

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Street Address*

streetAddress

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Apt./Suite

streetAddress2

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City*

city

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ZIP Code*

zipCode

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We consider contributions to a variety of causes and organizations. Categories we consider regularly are listed below. Please select the one that most applies to your organization or program.*

Education

Public and private higher education institutions

Adult education programs

Youth development program

Scholarship and fellowship programs

Education-related organizations which expand public knowledge of the free enterprise system

Welfare of Children

Healthcare institutions

Health-related organizations and initiatives

Child development programs and organizations

Community organizations which provide youth-oriented programs/activities

Environment and Conservation

Neighborhood parks

State park systems

Environmental and conservation-related groups/organizations

Environmental and conservation-related initiatives

Other

Performing arts programs

Cultural programs

Public radio and television

Civil rights and equal opportunity

Museums

Tell us about your organization

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What are some of the key accomplishments of your organization?*

accomplishments

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What are the key objectives of your program?*

programObjectives

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Who would benefit from your program?*

whoWouldBenefit

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What method(s) would you use to evaluate the program's success?*

evaluateSuccess

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Help us understand the level of contribution you're seeking

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What dollar amount are you seeking in relation to the total need?*

dollarAmount

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How would your organization use Trust Fund money? (Be as precise as possible)*

moneyUse

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Please share some information to help us evaluate need

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Current year's operating budget, if available*

currentYearBudget

Tax-Exempt status

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We are a Section 501(c)(3) tax-exempt organization*

Non-Discrimination

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I understand that the Bridgestone Americas Trust Fund will not make contributions to groups that discriminate on the basis of race, color, religion, gender, mental or physical disablities, sexual orientation, national origin, age, citizenship, veteran/reserve/national guard status or other protected status; partisan political organization; or groups limited to members of a single religious organization.*

Who are the members of your Board of Directors?

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Member 1*

memberName1

Name*

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memberTitle1

Title*

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Member 2

memberName2

Name

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memberTitle2

Title

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Member 3

memberName3

Name

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memberTitle3

Title

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Member

memberName4

Name

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memberTitle4

Title

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Member

memberName5

Name

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memberTitle5

Title

Please list other contributors and the amount of their donation

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Contributor 1*

contributorName1

Name*

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contributorDonation1

Amount of Donation*

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Contributor 2

contributorName2

Name

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contributorDonation2

Amount of Donation

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Contributor 3

contributorName3

Name

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contributorDonation3

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Contributor 4

contributorName4

Name

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contributorDonation4

Amount of Donation

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Contributor 5

contributorName5

Name

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contributorDonation5

Amount of Donation

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If benefits are involved, please describe the breakdown of deductible vs. non-deductible portions

benefitsBreakdown

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I have questions. Please contact me before reviewing our application

Proposals meeting basic criteria requirements are held for review by the Bridgestone Americas Trust Fund committee, which meets several times throughout the year. Subsequent to the review, applicants will be notified of the committee's decision.